MEDICARE: REHABILITATION CARE COORDINATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	163WC0400X	Case Management Registered Nurse

General Provider Information

NPI Number	:	1124995980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION CARE COORDINATION

Provider Business Mailing Address
First Line	:	7851 MISSION CENTER CT STE 103
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1326
Country	:	US
Telephone Number	:	619-299-9922
Fax Number	:	619-299-9932

Provider Business Practice Location Address
First Line	:	7851 MISSION CENTER CT STE 103
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1326
Country	:	US
Telephone Number	:	619-299-9922
Fax Number	:	619-299-9932

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. LOREN SETH CASUTO
Credential	:	ESQ
Telephone Number	:	619-299-9922

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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